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Short Arm Splint Supplies, Adult, Plaster

Utah rates for HCPCS Q4021

Cast supplies, short arm splint, adult (11 years +), plaster

Rates data updated October 2026.

How much does Short Arm Splint Supplies, Adult, Plaster cost?

$6.03

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $6.03 for this service. Most negotiated rates run $3.55 to $6.61.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7 · 10th to 90th $7 to $7Professionalmedian $6 · 10th to 90th $3 to $7
$5$10$20facility $7professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.32
Median
$1.32
Typical High
$1.32
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.66
Median
$0.66
Typical High
$0.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Molina
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$30.20
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Select Health
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Select Health
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.91
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$8.91
Typical High
$12.30
United
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$3.55
Typical High
$6.92

Where Utah sits

The same service costs 4.1 times more in Rhode Island than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 25th of 51

$6.03

RI $13.80NY $3.39

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.